Provider Demographics
NPI:1043975014
Name:SONTERRA FAMILY DENTAL PLLC
Entity type:Organization
Organization Name:SONTERRA FAMILY DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:KATENDE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-598-1991
Mailing Address - Street 1:11720 N INTERSTATE 35 UNIT 800
Mailing Address - Street 2:
Mailing Address - City:JARRELL
Mailing Address - State:TX
Mailing Address - Zip Code:76537-2014
Mailing Address - Country:US
Mailing Address - Phone:512-598-1991
Mailing Address - Fax:
Practice Address - Street 1:11720 N IH 35 UNIT 800
Practice Address - Street 2:
Practice Address - City:JARRELL
Practice Address - State:TX
Practice Address - Zip Code:76537-2014
Practice Address - Country:US
Practice Address - Phone:512-598-1991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty